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Individual

DR. VICTOR LOUIS ROGGLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 TRENT DRIVE, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
24502
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
230582
MEDICARE GROUP NUMBER
NC
05
8973004
NC
Enumeration date
10/05/2006
Last updated
07/25/2007
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